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Recovery audit lawsuit dismissed by federal judge

By Adam Rubenfire  |  December 19, 2014

A U.S. District Court judge has dismissed a lawsuit by hospitals seeking to compel HHS to meet statutory timelines for processing appeals to recovery audits. The American Hospital Association said in a statement that it disagrees with the court's decision and expects to file an appeal.

Docs take note: Make quality-reporting deadline or face penalty

By Andis Robeznieks  |  December 18, 2014

Physician advocates are warning doctors to pay close attention to the CMS' recently released Physician Quality Reporting System data submission deadlines, because the 2014 data they report will be used to calculate their future Medicare payments.

Providers balk as CMS announces penalties for 2013 EHR issues

By Joseph Conn  |  December 18, 2014

A CMS announcement that many doctors will see their 2015 Medicare payments cut by 1% for failing to meet federal electronic health-record incentive-payment program standards has provoked strong reactions from physician and hospital groups.

Doc database may soon include CME-related payments

Doc database may soon include CME-related payments

By Jaimy Lee  |  December 15, 2014

The CMS now suggests payments from drug and device companies for continuing medical education must be reported to the Open Payments database if the contributors learn which doctors lead the sessions.

WellCare promotes Burdick to CEO

WellCare promotes Burdick to CEO

By Bob Herman  |  December 15, 2014

Kenneth Burdick has been named CEO of WellCare Health Plans, a Tampa, Fla.-based managed-care company that has suffered smaller margins and upheaval in its executive ranks this year.

New House budget chairman to follow Ryan framework

By Associated Press  |  December 13, 2014

The incoming Republican chairman of the House Budget panel says he's going to follow outgoing chairman Paul Ryan's lead by drafting a fiscal blueprint that would balance the budget in 10 years and call for transforming Medicare into a system that places future retirees in private health insurance...

VA's private-care initiative impeded by administrative issues

By Virgil Dickson  |  December 12, 2014

Administrative and reimbursement issues are hampering the Veterans Affairs Department's new initiative aimed at granting wider access to private care for vets unable to get treatment within the system, say some providers around the country who have tried working in the new program.

CMS announces star-rating program for home health agencies

By Sabriya Rice  |  December 11, 2014

Home health agencies are the latest to become subject to the CMS' five-star rating program, which is intended to help consumers compare the quality and safety of care they should expect from U.S. healthcare providers.

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